NPI Code Detail JSON Logo

1548255839 NPI number — OTILIA P FERNANDEZ M.D.

NPI Number: 1548255839
Health Care Provider/Practitioner: OTILIA P FERNANDEZ M.D.

Information about “1548255839” NPI (OTILIA P FERNANDEZ M.D.) exists in 1548255839 in HTML format HTML  |  1548255839 in plain Text format TXT  |  1548255839 in PDF (Portable Document Format) PDF  |  1548255839 in an XML format XML  formats.

NPI Number : 1548255839 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548255839",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FERNANDEZ",
    "FirstName": "OTILIA",
    "MiddleName": "P",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PERRINO",
    "OtherFirstName": "OTILIA",
    "OtherMiddleName": "P",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "4330 DRAKE RD.",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CINCINNATI",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45243",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "513-563-0044",
    "MailingAddressFaxNumber": "513-563-0061",
    "FirstLinePracticeLocationAddress": "11258 LEBANON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CINCINNATI",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45241-2214",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "513-563-0044",
    "PracticeLocationAddressFaxNumber": "513-563-0061",
    "EnumerationDate": "09/13/2005",
    "LastUpdateDate": "06/08/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208000000X",
        "TaxonomyName": "Pediatrics Physician",
        "LicenseNumber": "35-054804",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.